The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery
Introduction: The aim of the study is to compare the efficacy and safety of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in the treatment of female stress urinary incontinence (SUI) in a two-arm study with a 1-year follow-up.Methods: The single-center retrospective study...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2018-12-01
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| Series: | İstanbul Medical Journal |
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http://imj.galenos.com.tr/archives/archive-detail/article-preview/the-efficacy-of-mid-urethral-sling-procedures-tran/20776
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| _version_ | 1797922071263576064 |
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| author | Mustafa Aydın Tuna Karatağ Mustafa Kadıhasanoğlu Orhan Tanrıverdi Çiğdem Döndar Muammer Kendirci |
| author_facet | Mustafa Aydın Tuna Karatağ Mustafa Kadıhasanoğlu Orhan Tanrıverdi Çiğdem Döndar Muammer Kendirci |
| author_sort | Mustafa Aydın |
| collection | DOAJ |
| description | Introduction: The aim of the study is to compare the efficacy and safety of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in the treatment of female stress urinary incontinence (SUI) in a two-arm study with a 1-year follow-up.Methods: The single-center retrospective study included 73 patients who underwent TVT or TOT between January 2006 and October 2012. Patients who had neurological disease or required surgical repair of cystocele or rectocele were excluded from the study. The primary outcome was treatment efficacy and safety at 12 months, defined by overactive bladder (OAB) scores and self-reported absence of symptoms. For comparisons between the groups, chi-square and Student-t tests were used.Results: Among the women included in the analysis, 52 patients underwent TVT and 21 underwent TOT. The mean age of the patients was 48.9 years in the TOT group and 46.2 years in the TVT group (p=0.713). The patient satisfaction rate was found to be 82.5% in the TOT group and 84.6% in the TVT group (p=0.917); complete dryness rates were similar in both groups (57.5% vs. 58.3%, p=0.817). There was a significant decrease in using pads in both groups, and OAB scores also showed a statistically significant decrease.Conclusion: Tension-free vaginal tape and TOT have similar efficacy as a minimally invasive technique for the treatment of female SUI. The symptoms of urgency urinary incontinence can also be reduced in parallel with OAB scores. |
| first_indexed | 2024-04-10T14:25:31Z |
| format | Article |
| id | doaj.art-d0e99494064943d19f8d2648eb488d01 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T14:25:31Z |
| publishDate | 2018-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-d0e99494064943d19f8d2648eb488d012023-02-15T16:09:07ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2018-12-0119428528810.5152/imj.2018.4687313049054The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After SurgeryMustafa Aydın0Tuna Karatağ1Mustafa Kadıhasanoğlu2Orhan Tanrıverdi3Çiğdem Döndar4Muammer Kendirci5 Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey Clinic of Urology, Sait Ciftci State Hospital, İstanbul, Turkey Department of Urology, Health Sciences University İstanbul Training and Research Hospital, Health Sciences University İstanbul, Turkey Department of Urology, İstinye University School of Medicine, İstanbul, Turkey Department of Urology, Health Sciences University Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey Department of Urology, İstinye University School of Medicine, İstanbul, Turkey Introduction: The aim of the study is to compare the efficacy and safety of tension-free vaginal tape (TVT) and transobturator tape (TOT) procedures in the treatment of female stress urinary incontinence (SUI) in a two-arm study with a 1-year follow-up.Methods: The single-center retrospective study included 73 patients who underwent TVT or TOT between January 2006 and October 2012. Patients who had neurological disease or required surgical repair of cystocele or rectocele were excluded from the study. The primary outcome was treatment efficacy and safety at 12 months, defined by overactive bladder (OAB) scores and self-reported absence of symptoms. For comparisons between the groups, chi-square and Student-t tests were used.Results: Among the women included in the analysis, 52 patients underwent TVT and 21 underwent TOT. The mean age of the patients was 48.9 years in the TOT group and 46.2 years in the TVT group (p=0.713). The patient satisfaction rate was found to be 82.5% in the TOT group and 84.6% in the TVT group (p=0.917); complete dryness rates were similar in both groups (57.5% vs. 58.3%, p=0.817). There was a significant decrease in using pads in both groups, and OAB scores also showed a statistically significant decrease.Conclusion: Tension-free vaginal tape and TOT have similar efficacy as a minimally invasive technique for the treatment of female SUI. The symptoms of urgency urinary incontinence can also be reduced in parallel with OAB scores. http://imj.galenos.com.tr/archives/archive-detail/article-preview/the-efficacy-of-mid-urethral-sling-procedures-tran/20776 Stress urinary incontinencemid-urethral slingtension-free vaginal tapetransobturator tapefollow-uptreatment outcome |
| spellingShingle | Mustafa Aydın Tuna Karatağ Mustafa Kadıhasanoğlu Orhan Tanrıverdi Çiğdem Döndar Muammer Kendirci The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery İstanbul Medical Journal Stress urinary incontinence mid-urethral sling tension-free vaginal tape transobturator tape follow-up treatment outcome |
| title | The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery |
| title_full | The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery |
| title_fullStr | The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery |
| title_full_unstemmed | The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery |
| title_short | The Efficacy of Mid-Urethral Sling Procedures, Transobturator Tape and Tension-Free Vaginal Tape in the Treatment of Female Stress Urinary Incontinence: A Comparative Study of Twelve Months Follow-Up After Surgery |
| title_sort | efficacy of mid urethral sling procedures transobturator tape and tension free vaginal tape in the treatment of female stress urinary incontinence a comparative study of twelve months follow up after surgery |
| topic | Stress urinary incontinence mid-urethral sling tension-free vaginal tape transobturator tape follow-up treatment outcome |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/the-efficacy-of-mid-urethral-sling-procedures-tran/20776
|
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